As mentioned above ASCVD (Atherosclerotic Cardiovascular Disease) — its causes, types, and management — one of the most important things our generation needs to understand is that we are increasingly becoming more vulnerable to these diseases due to multiple lifestyle and Metabolic risk factors.
During my 5 years of clinical experience in emergency medicine, I have encountered numerous cases that were ignored, delayed, or initially misdiagnosed.
One patient, fortunately, underwent timely PTCA ( Percutaneous Transluminal Coronary Angioplasty ). He had experienced intermittent episodes of sudden shortness of breath while playing badminton for nearly 21 days. Despite being physically active and regularly involved in sports, he also noticed mild central chest tightness and occasional burning sensation. He visited a local clinic where he was prescribed antacids and advised to undergo an ECG if symptoms persisted.
However, days passed and the ECG was never done.
Almost three weeks later, he visited our hospital for a routine annual health check-up. His ECG was suggestive of an evolved anterior wall myocardial infarction, after which our Medicine Consultant referred him immediately to the emergency department.
Further evaluation with coronary angiography (CAG) revealed significant coronary artery disease, and he subsequently underwent PTCA with placement of two DES (Drug-Eluting Stents).
I have also encountered:
-A 19 years old male who underwent primary angioplasty for acute myocardial infarction
-A 25 years old male who suffered sudden cardiac arrest and could not be revived
-A 30-year-old male presenting with intracranial bleed associated with uncontrolled cardiovascular risk factors
These experiences strongly emphasize the importance of:
-Early awareness and acknowledgment of symptoms
-Regular health check-ups
-Timely ECG and cardiovascular screening
-Adoption of a healthy lifestyle
-Better risk-factor control from a young age
Recent evidence suggests that Indians tend to develop ASCVD at a younger age compared to many Western populations, with increasing cardiovascular risk factors being observed even among young adults.
Prevention, early recognition, and timely intervention can significantly reduce morbidity and mortality associated with premature cardiovascular disease.
MBH/AB